| Ben M Smith Dmd Pc | |
|
207 N Union Ave Ste E Roswell NM 88201-3068 | |
| (575) 910-6748 | |
| (575) 208-0780 |
| Full Name | Ben M Smith Dmd Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 207 N Union Ave Ste E, Roswell, New Mexico |
| Authorized Official Name and Position | Ben M. Smith (OWNER/PRESIDENT) |
| Authorized Official Contact | 5756242095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ben M Smith Dmd Pc Po Box 8244 Roswell NM 88202-8244 Ph: (575) 624-2095 | Ben M Smith Dmd Pc 207 N Union Ave Ste E Roswell NM 88201-3068 Ph: (575) 910-6748 |
| NPI Number | 1295849792 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 03/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295849792 | NPI | - | NPPES |
| 86835 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | NM1575 (New Mexico) | Primary |
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